A nurse is reviewing the ECG tracing strip of a client who is receiving telemetry monitoring.
The nurse should locate the S-T segment at which of the following locations on the electrocardiographic waveform.

Choice A rationale

Rewrapping the bandage every 8 hours is too infrequent. The residual limb bandage should be checked and rewrapped more frequently to ensure continuous, even compression and to prevent the bandage from slipping, which can cause skin irritation or tourniquet effects. The correct application should be in a figure-eight pattern.

Choice B rationale

A client who has undergone a below-the-knee amputation should be turned more frequently than every 4 hours to prevent pressure ulcers and contractures. Turning every 2 hours is the standard of care for a bedridden client. Prolonged pressure on the surgical site can compromise circulation and healing.

Choice C rationale

A trapeze can be a useful tool for clients with lower limb weakness, but for a client post-amputation, excessive upper body strength exertion with the trapeze can cause a compensatory increase in muscle tone and pressure on the stump, which may compromise healing. The focus is to support the residual limb, not to put strain on it.

Choice D rationale

An air mattress, also known as a low-air-loss mattress, is designed to reduce and redistribute pressure evenly across the body's surface. This is particularly important for a client with an amputation to prevent pressure ulcers, promote circulation, and protect the residual limb's surgical incision from excessive pressure, which aids in healing

Choice A rationale

Veracity is the ethical principle of telling the truth and being honest with clients. By informing the client about the potential side effect of lightheadedness while also clarifying that the procedure should not affect their memory, the nurse is providing accurate and complete information. This honesty allows the client to make an informed decision and builds trust in the therapeutic relationship. The nurse is being truthful about the known risks and benefits of the treatment.

Choice B rationale

Beneficence is the ethical principle of doing good and acting in the best interest of the client. While the nurse's actions are ultimately intended to be beneficial, the specific act of providing truthful information is a demonstration of veracity. Beneficence would involve ensuring the treatment is appropriate and safe for the client, whereas veracity is the specific communication of the truth about that treatment's effects.

Choice C rationale

Autonomy is the ethical principle that respects a client's right to self-determination and to make their own decisions. While providing truthful information supports the client's ability to exercise their autonomy, the act of giving the information itself is an example of veracity. The nurse is upholding the client's autonomy by being truthful, but the action of being truthful is the core principle demonstrated.

Choice D rationale

Fidelity is the ethical principle of keeping promises and being loyal to the client. This involves maintaining professional commitments and a trusting relationship. While providing accurate information contributes to a trusting relationship, it is a direct fulfillment of the duty of veracity. Fidelity is more about honoring commitments and promises, which is a broader concept than simply telling the truth about a procedure's effects. *.